| Entity Name: | AMERICAN PEDIATRIC DENTAL PINES, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 17 Jan 2017 (8 years ago) |
| Last Event: | LC STMNT OF RA/RO CHG |
| Event Date Filed: | 14 Sep 2021 (3 years ago) |
| Document Number: | L17000013585 |
| FEI/EIN Number | NOT APPLICABLE |
| Address: | 2970 Brandywine Road, Suite 200, Atlanta, GA, 30341, US |
| Mail Address: | 2970 Brandywine Road, Suite 200, Atlanta, GA, 30341, US |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1508396847 | 2017-06-19 | 2022-07-21 | 18501 PINES BLVD STE 211, PEMBROKE PINES, FL, 330291420, US | 18501 PINES BLVD STE 211, PEMBROKE PINES, FL, 330291420, US | |||||||||||||||
|
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| Phone | +1 954-417-1337 |
| Fax | 9544171338 |
Authorized person
| Name | RICHELLE PENA |
| Role | DIRECTOR OF CORPORATE |
| Phone | 4155185117 |
Taxonomy
| Taxonomy Code | 1223P0221X - Pediatric Dentist |
| Is Primary | Yes |
| Name | Role |
|---|---|
| C T CORPORATION SYSTEM | Agent |
| Name | Role | Address |
|---|---|---|
| Santiago Gerardo | Auth | 2970 Brandywine Road, Atlanta, GA, 30341 |
| Name | Role | Address |
|---|---|---|
| Santiago Gerardo | Member | 2970 Brandywine Road, Atlanta, GA, 30341 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G18000107050 | AMERICAN PEDIATRIC SEDATION CENTER | EXPIRED | 2018-10-01 | 2023-12-31 | No data | 18501 PINES BLVD., STE. 211, PEMBROKE PINES, FL, 33029 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-03-29 | 2970 Brandywine Road, Suite 200, Atlanta, GA 30341 | No data |
| CHANGE OF MAILING ADDRESS | 2024-03-29 | 2970 Brandywine Road, Suite 200, Atlanta, GA 30341 | No data |
| LC STMNT OF RA/RO CHG | 2021-09-14 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2021-09-14 | C T CORPORATION SYSTEM | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2021-09-14 | 1200 SOUTH PINE ISLAND ROAD, PLANTATION, FL 33324 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-29 |
| ANNUAL REPORT | 2023-02-27 |
| ANNUAL REPORT | 2022-03-29 |
| CORLCRACHG | 2021-09-14 |
| ANNUAL REPORT | 2021-04-25 |
| ANNUAL REPORT | 2020-06-25 |
| ANNUAL REPORT | 2019-04-03 |
| ANNUAL REPORT | 2018-03-08 |
| Florida Limited Liability | 2017-01-17 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
